Peter S Boustani, OT in Midland Park, NJ - Medicare Occupational Therapist Provider

Peter S Boustani, OT is a medicare enrolled "Occupational Therapist" provider in Midland Park, New Jersey. His current practice location is 33 Central Ave, Midland Park, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 819-1081.

Peter S Boustani is licensed to practice in New Jersey (license number 46TR01173300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912754003.

Contact Information

	Peter S Boustani, OT
	33 Central Ave, Midland Park, NJ 07432-1401
	(201) 819-1081
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Peter S Boustani
Gender	Male
Speciality	Occupational Therapist
Location	33 Central Ave, Midland Park, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912754003
Provider Enumeration Date: 05/06/2024
Last Update Date: 05/06/2024

Medicare PECOS Information:

PECOS PAC ID: 8628410461
Enrollment ID: I20240524002983

Medical Identifiers

Medical identifiers for Peter S Boustani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912754003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	46TR01173300 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Peter S Boustani allows following entities to bill medicare on his behalf.

Provider Name	Medwell Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659384360 PECOS PAC ID: 9931189776 Enrollment ID: O20040722000847

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter S Boustani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Peter S Boustani, OT 33 Central Ave, Midland Park, NJ 07432-1401 Ph: (201) 819-1081	Peter S Boustani, OT 33 Central Ave, Midland Park, NJ 07432-1401 Ph: (201) 819-1081

Reviews and Comments

Occupational Therapist in Midland Park, NJ

Sprouts Occupational Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Crest Dr, Midland Park, NJ 07432 Phone: 201-280-1739
Mrs. Justin Gredell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Central Ave, Midland Park, NJ 07432 Phone: 201-819-1081 Fax: 201-221-7844
Katrina Iledan, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870
Kimberly Susan Aiello, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Crest Dr, Midland Park, NJ 07432 Phone: 201-410-1756
Mrs. Robyn Elise Brown, MS, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870 Fax: 201-639-8874
Ms. Andrea Rose Delmonico, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Godwin Ave, Suite 120, Midland Park, NJ 07432 Phone: 201-447-0303
Isabella Corino, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870

Peter S Boustani, OT - Medicare Occupational Therapist in Midland Park, NJ